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LI() ( <br /> FOR OFFICE USE ONLY PERMIT# � U <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size / Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 3O (�� Nonresidential Use <br /> Number of Stories f/l/A Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load HA Total No.of Dwelling Units: <br /> Basement No)< Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ` needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes V' No_ Phone#: <br /> Reason Approv d by: Date: <br /> J23' if <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes x No_ School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No > #of Net New Units: <br /> Add!RCW 64.55 docs required prior to final?Yes_ No\ Calculated School Impact Fee: <br /> Architectural Approved By/Date: r y/ /7 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: /// Comments: <br /> Intake OK by: Intake OK b • 1A.) Ok to route <br /> '✓ Hold <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> Eg INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date:5=e-17 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 SeePW Review Worksheet <br /> Systems Dev. Fee APW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes 7,No_ Existing Bldg. <br /> Update/New Detection Yes ! No Existing Bldg. <br /> Update/New Chemical Yes_ No / Existing Bldg. <br /> _ <br /> Update/New Fire ServiceYes <br /> ,�Yess— No Z'Existing Bldg <br /> Approved by: ` "' Date: 9.)''1 <br /> Comments: O/ <br />